go back

North Dakota rates for HCPCS J7310

Ganciclovir Long Act Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,663.82 / $3,663.82 / $19,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,663.82 / $4,601.09 / $4,601.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,960.13 / $17,129.73 / $21,200.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,663.82 / $16,809.59 / $26,288.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $21,120.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,680.00 / $19,200.00 / $21,504.00